Fred Jefferson Memorial Home for Boys
NPI 1659561223 · Community/Behavioral Health Agency · Gardena, CA
Fred Jefferson Memorial Home for Boys is a Community/Behavioral Health Agency organization in Gardena, CA (NPI 1659561223).
Provider details
- NPI number
- 1659561223
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Niquelle Lewis, Executive Director(310) 763-1660
- License
- 197804218 (CA)
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-07-30
- Last updated
- 2020-03-03
- Certified
- 2020-03-03
Frequently asked questions
- What is Fred Jefferson Memorial Home for Boys's NPI number?
- Fred Jefferson Memorial Home for Boys's National Provider Identifier (NPI) is 1659561223, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fred Jefferson Memorial Home for Boys?
- Fred Jefferson Memorial Home for Boys is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Fred Jefferson Memorial Home for Boys located?
- Fred Jefferson Memorial Home for Boys's practice location on file with NPPES is 152 W Walnut St Ste 150, Gardena, CA 90248-3146.
- What is Fred Jefferson Memorial Home for Boys's phone number?
- The practice phone number listed in the NPPES registry for Fred Jefferson Memorial Home for Boys is (310) 763-1660.
- Who is the authorized official for Fred Jefferson Memorial Home for Boys?
- The authorized official listed on Fred Jefferson Memorial Home for Boys's NPPES record is Niquelle Lewis, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fred Jefferson Memorial Home for Boys's NPI active?
- Yes — Fred Jefferson Memorial Home for Boys's NPI (1659561223) is active in the NPPES registry as of the last update on 2020-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.